Eliz Marie Fuentes Perez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

22960 Issued in PR

Practice address

Carr 448 KM 2.0 Int Sect Yeyo Gonzalez Bo Guajataca
San Sebastian, PR 00685

Phone

(939) 438-5543

NPI assigned

Aug 26, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Municipio de Guanica

  • Emergency Care Clinic/Center
  • Guanica, PR
  • NPI 1205029709

  General Practice

  Medicare reassignment NPD
• Departamento de Salud Oficial

  • Rural Acute Care Hospital
  • Vieques, PR
  • NPI 1770703845
  Medicare reassignment
• Departamento de Salud Oficial

  • Emergency Care Clinic/Center
  • Adjuntas, PR
  • NPI 1184827370
  NPD
• Municipio de Guanica

  • Clinic/Center
  • Guanica, PR
  • NPI 1174847354
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1578282919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 08 BOX 83531",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "939-438-5543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 448 KM 2.0 INT SECT YEYO GONZALEZ BO GUAJATACA",
            "city": "SAN SEBASTIAN",
            "state": "PR",
            "postal_code": "00685",
            "telephone_number": "939-438-5543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES PEREZ",
        "first_name": "ELIZ",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": "22960",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "22960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• First AIDS Medical Clinic
• First Class Emergency Care Inc
• Martin Antonio Flores, NAADAC
• Maria D Frontera Vargas, MD
• Omar Anibal Fuentes Flores, M.S.W.
• Elizabeth Fuentes-Sotomayor
• Ivette Nathalie Galindo, M.SC.
• Ann Marie Garcia Chaparro
• Tamara L Garcia Roman, MD
• Cristina Limaris Garcia, OCUPATION THERAPHY

• General Practice Physician in San Sebastian, PR
• Providers in San Sebastian, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.